The Urogynaecology Unit offers assessment and treatment of women with a wide range of pelvic floor and lower urinary tract problems. We provide specialist treatment (both conservative and surgical) for conditions such as:
- Vaginal prolapse
- Urinary incontinence
- Overactive bladder
- Recurrent urinary tract infections
- Painful bladder syndrome
- Difficulty passing urine
- Problems following childbirth
The unit has a multi-disciplinary team approach to patient care. The clinical team is consultant led with two Sub-Specialist Consultants in Urogynaecology, two Urogynaecology Nurse Specialists, Specialist Pelvic Health Physiotherapists and a dedicated administration team. We work closely together to ensure an holistic approach to care, holding weekly multi-disciplinary team (MDT) meetings and monthly MDT meetings with other specialist departments within the trust including; Urology, Colorectal, Geriatrics and the Community Continence Teams. We also work closely with the maternity department supporting women during and after childbirth.
We are actively involved in research, operate within national guidelines (including NICE and BSUG) and adopt the latest evidence-base practice with all aspects of Urogynaecology. We offer a full range of diagnostic investigations including: Video, Ambulatory and standard urodynamic investigations, endo-anal ultrasound scanning, outpatient cystoscopy and bladder scanning.
Surgical interventions for treatment of incontinence and prolapse include; Botox injections, urethral bulking agents, vaginal and laparoscopic prolapse repair, as well as complex prolapse surgery.
Outpatient Services Provided:
- Urogynaecology Clinics for new and follow-up patients
- Diagnostic flexible cystoscopy
- Supervised pelvic floor muscle therapy with specialist physiotherapists
- Urodynamic investigations
- Virtual clinics
Specialist Nurse-Led Clinics:
- Conservative management of pelvic floor disorders
- Vaginal pessary management
- Percutaneous Tibial Nerve Stimulation (PTNS)
- Uroflowmetry & Urodynamics
- Bladder instillations
- Bladder training
- Intermittent Self-Catheterisation
- Bowel dysfunction clinic.
Kingston has a team of Physiotherapists specialising in Pelvic Health and who work closely with a variety of departments within Kingston Hospital.
They treat a range of conditions including urinary urgency and incontinence, faecal urgency and incontinence, pelvic organ prolapse and pelvic pain. They also see patients who are suffering from pregnancy related musculoskeletal issues such as pelvic girdle pain, lower back pain and carpal tunnel. Our treatment approach for all conditions is holistic and patient centred.
Useful Resources for further information:
International Urogynaecology Association: https://www.yourpelvicfloor.org/leaflets/
Bladder Health UK: https://bladderhealthuk.org/
Pelvic Obstetric Gynaecological Physiotherapists: https://thepogp.co.uk/
Bladder and Bowel Community: https://www.bladderandbowel.org/bowel/bowel-problems/
Royal College of Obstetricians & Gynaecologists: https://www.rcog.org.uk/en/patients/patient-leaflets/